基于小组的轨迹模型来评估脂质检测和他类药物坚持的关联
Yun-Yi Pan1, Sandeep Devabhakthuni1, Catherine E Cooke1
1Department of Practice, Sciences and Health Outcomes Research, University of Maryland School of Pharmacy, 220 Arch Street, Baltimore, MD, 21201, USA.
Drugs - real world outcomes
|December 21, 2024
概括
开始服用他类药物后的脂质检测与更好的他类药物坚持有关. 定期测试有助于保持一致的药物使用,降低心血管风险和医疗保健成本.
科学领域:
- 心血管医学 心血管医学
- 药物经济学 药物经济学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 开始服用他类药物后的脂质检测对于监测治疗疗效至关重要.
- 不充分的他类药物反应可能表明不坚持,增加心血管事件风险和成本.
- 基于组的轨迹建模识别了不同的药物服用行为.
研究的目的:
- 为了调查脂质检测和他类药物坚持轨迹之间的关联.
- 分析开始使用他类药物治疗的医疗保险收费服务受益者的坚持模式.
主要方法:
- 使用医疗保险索赔数据 (2006-2015年) 的回顾性队列研究.
- 通过声明识别了他类药物的使用和脂质测试.
- 根据模型坚持轨迹覆盖的天数的计算比例.
主要成果:
- 在138,101名患者中确定了四种他类药物坚持轨迹:快速下降 (21.53%),逐渐下降 (10.25%),下降然后改善 (26.47%),以及高坚持 (41.75%).
- 在开始服用他类药物后的360天内,脂质检测与属于"快速下降"",逐渐下降"和"首先下降,然后稍后改善"组的可能性较低,而不是"高度坚持".
结论:
- 脂质检测显示,与持续使用他类药物有积极的关联.
- 这表明脂质检测可能在促进对他类药物治疗的坚持方面发挥作用.
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